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Case report
peer-reviewed

Hip Fracture in a Patient with Primary Hyperparathyroidism: Medical and Surgical Lessons



Abstract

Hyperparathyroidism is a condition which can be primary, secondary or tertiary and is characterized by increased calcium levels, low phosphate levels, and elevated parathyroid hormone (PTH) levels. Primary hyperthyroidism can cause severe bone resorption leading to bone pains and pathological fracture. We present the case of a patient with severe primary hyperparathyroidism with an atraumatic fracture at the neck of the femur and multiple medical comorbidities presenting a surgical challenge. While primary hyperparathyroidism is rare, it should be considered during differential diagnoses.



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Case report
peer-reviewed

Hip Fracture in a Patient with Primary Hyperparathyroidism: Medical and Surgical Lessons


Author Information

MN Baig Corresponding Author

Trauma & Orthopaedics, Galway University Hospital

Cathal Mac Dhaibheid

Trauma & Orthopaedics, Galway University Hospital

Fintan J. Shannon

Trauma & Orthopaedics, Galway University Hospital


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Hip Fracture in a Patient with Primary Hyperparathyroidism: Medical and Surgical Lessons


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Case report
peer-reviewed

Hip Fracture in a Patient with Primary Hyperparathyroidism: Medical and Surgical Lessons

  • Author Information
    MN Baig Corresponding Author

    Trauma & Orthopaedics, Galway University Hospital

    Cathal Mac Dhaibheid

    Trauma & Orthopaedics, Galway University Hospital

    Fintan J. Shannon

    Trauma & Orthopaedics, Galway University Hospital


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: January 23, 2018

    DOI

    10.7759/cureus.2104

    Cite this article as:

    Baig M, Mac dhaibheid C, Shannon F J (January 23, 2018) Hip Fracture in a Patient with Primary Hyperparathyroidism: Medical and Surgical Lessons . Cureus 10(1): e2104. doi:10.7759/cureus.2104

    Publication history

    Received by Cureus: December 31, 2017
    Peer review began: January 17, 2018
    Peer review concluded: January 19, 2018
    Published: January 23, 2018

    Copyright

    © Copyright 2018
    Baig et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Hyperparathyroidism is a condition which can be primary, secondary or tertiary and is characterized by increased calcium levels, low phosphate levels, and elevated parathyroid hormone (PTH) levels. Primary hyperthyroidism can cause severe bone resorption leading to bone pains and pathological fracture. We present the case of a patient with severe primary hyperparathyroidism with an atraumatic fracture at the neck of the femur and multiple medical comorbidities presenting a surgical challenge. While primary hyperparathyroidism is rare, it should be considered during differential diagnoses.



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